The Effects of a 12-Week Intradialytic Exercise Program Static and Dynamic Stretching Combining with Resistance Training on Muscle Strength, and Quality of Life Hemodialysis Patients with Chronic Kidney Disease: A Randomize Controlled Trial

Abstract

Background: Muscle strength may have an effect on quality of life in older people undergoing haemodialysis (HD) for chronic kidney diseases . Elderly dialysis patients with chronic kidney diseases are more likely to become feeble as a result of a cumulative loss of muscle mass and physical function, which is hastened by the uremic environment and aging-related muscle loss. decreased quality of life. Haemodialysis patients encounter alterations in their daily routine, a reduction in their physical capabilities, and a reliance on ongoing treatment. One type of nursing intervention program that is necessary to reduce side effects during dialysis therapy is intradialyticexercise (IDE) on the patient's lower limbs to enhance muscular function. Purpose of this study to determine the effects of video-based intradialytic exercises education on the muscular strength, the functional balance, and the muscle endurance of haemodialysis patients. Haemodialysis patients encounter alterations in their daily routine, a reduction in their physical capabilities, and a reliance on continuous care. One example of a nursing intervention program that is necessary to reduce side effects during dialysis therapy is the use of intradialytic Exercise (IDE) on the patient's lower limbs to enhance muscular function. Methods: A quantitative Randomized Control Trial study design was used in this research. A total of 96 respondents were gathered, with 48 respondents assigned to each group based on inclusion criteria. Among the requirements for inclusion are being able to converse in Indonesian, being between the ages of 18 and 70, and having undergone HD for at least three months. The results Comparing the video-based exercises intervention to the control group, the former showed a substantial improvement in hip, femoral, and leg muscular strength. In comparison to the control group, the strength of the legs grew by 17.6%, the femur by 10.2%, and the hip by 7.09%. Between the pre-test and post-test, the intervention group's quality of life score increased noticeably. Conclusion the study highlights the need of taking into account both the possible advantages and drawbacks of using video-based intradialytic exercises to enhance general health and wellbeing. To enhance patient health, interadialytic exercise can be implemented as a regular practice in the HD unit.